Nursing Commons^™

Preparedness Of Nurses For Malignant Hyperthermia, Melissa Flemming

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia (MH) is a potentially life threatening disorder that occurs following exposure to certain inhaled anesthetics such as halothane, isoflurane, sevoflurane, desflurane, enflurane, ether, and methoxyflurane alone or in combination with the depolarizing muscle relaxant, succinylcholine (Seifert,, Wahr, Pace, Cochrane, & Bagnola, 2014, p. 189). Patients experiencing malignant hyperthermia may progress to death if it is not recognized and treated early. Patient outcomes improve the earlier an intervention is given. Malignant hyperthermia is not a common condition and, therefore, nurses are frequently unfamiliar with the common signs, symptoms, and treatments. Malignant hyperthermia can occur in a variety of settings …

The Importance Of Evaluation And Management Of Sepsis, Severe Sepsis, And Septic Shock, Katherine Herda

Nursing Student Class Projects (Formerly MSN)

Sepsis is a life-threatening and complicated host response to the presence of infection that is affecting millions of individuals around the world each year (Dellinger et al., 2013, p. 583). According to Gray et al. (2013), sepsis is not only one of the primary causes of hospital admission but it is also a leading cause of morbidity and mortality worldwide (p. 397). Severe sepsis and septic shock are the more advanced and detrimental stages of sepsis, which are starting to increase in incidence and are killing one in four (and sometimes more) individuals infected (Dellinger et al., 2013, p. 583). …

‘What About The Mother?’ Women׳S And Caregivers׳ Perspectives On Caesarean Birth In A Low-Resource Setting With Rising Caesarean Section Rates, Helena Litorp, Andrew Mgaya, Hussein Kidanto, Sara Johnsdotter, Birgitta Essén

Obstetrics and Gynaecology, East Africa

Objective: in light of the rising caesarean section rates in many developing countries, we sought to explore women׳s and caregivers׳ experiences, perceptions, attitudes, and beliefs in relation to caesarean section.

Design: qualitative study using semi-structured individual in-depth interviews, focus group discussions, and participant observations. The study relied on a framework of naturalistic inquiry and data were analysed using thematic analysis.

Setting: a public university hospital in Dar es Salaam, Tanzania.

Participants: we conducted a total of 29 individual interviews, 13 with women and 16 with caregivers, and two focus group discussions comprising five to six caregivers each. Women had undergone …

Wirelessly Connected Sensor Acquisition System For Remote Nursing Applications, Yuhua Hu

Dissertations, Theses and Capstone Projects (Full IR Collection)

Taking advantage of the equipment used in the "Remote Nursing" project, nurses can watch patients' status remotely. The equipment, which is installed in the patient's ward or home, can monitor them and their environment. This project demonstrates this using a microcontroller system that interfaces to a video camera and temperature and humidity sensors in the room. Also a servomotor is installed to control the position of the camera. The microcontroller communicates wirelessly with a PC.

This project is focused on hardware rather than software. It is to test the video camera and sensors being used over the microcontroller through the …

Thyroid Ectopia Mimicking A Thyroglossal Duct Cyst (Tdc): A Case Report, Vijay Kumar Dr, Santhosh Prabhu Dr, Sundeep P. T Dr, Sonia R B D'Souza Dr

Manipal Journal of Nursing and Health Sciences

Thyroid Ectopia is a developmental defect which occurs during the stage of early embryogenesis of the Thyroid gland. A frequent presentation is around the course of the thyroglossal duct in the neck, a normal path of thyroid gland descent. If Thyroid Ectopia is mistaken for a Thyroglossal Duct Cyst and is removed unintentionally, it would cause hypothyroidism. We report a case of Thyroid Ectopia mimicking a Thyroglossal Duct Cyst in a five year old child who had subclinical hypothyroidism and having regular, long-term follow up and treated with Thyroid supplement

Discovering Self: Childbearing Adolescents' Maternal Identity, Janelle L. B. Macintosh, Lynn Clark Callister

Faculty Publications

Purpose: Adolescent pregnancy and motherhood have long been a topic of interest for many healthcare professionals. However, there are limited data on how childbearing adolescents incorporate motherhood identity into their sense of self. The purpose of this study was to explore how childbearing adolescents perceive motherhood as becoming part of their personal identity.

Study Design: This qualitative study using ethnographic data collection involved 7 months of observation, interaction, and interviews.

Methods: Data were collected from nine expectant adolescents during in-depth interviews. All participants were patients at a teen mother and child clinic staffed by certified nurse midwives and a pediatrician. …

Understanding Infection Prevention And Control In Nursing Homes: A Qualitative Study., Patricia W. Stone, Carolyn T.A. Herzig, Monika Pogorzelska-Maziarz, Eileen Carter, Ragnhildur I. Bjarnadottir, Patricia K. Semeraro, Catherine C. Cohen, Jasmine Travers, Steven Schweon

College of Nursing Faculty Papers & Presentations

Infections have been identified as a priority issue in nursing homes (NHs). We conducted a qualitative study purposively sampling 10 NHs across the country where 6-8 employees were recruited (N = 73). Semi-structured, open-ended guides were used to conduct in-depth interviews. Data were audiotaped, transcribed and a content analysis was performed. Five themes emerged: 'Residents' Needs', 'Roles and Training' 'Using Infection Data,' 'External Resources' and 'Focus on Hand Hygiene.' Infection prevention was a priority in the NHs visited. While all sites had hand hygiene programs, other recommended areas were not a focus and many sites were not aware of available …

Faith Community Nurse Education: A Conceptual Model, Cristy Marie Daffron

International Journal of Faith Community Nursing

As a specialty practice, faith community nursing embodies knowledge that is unique to the practice and requires both generic and specialty training. Scarce research has been conducted on the effectiveness of basic faith community nurse curricula. As the landscape of education continues to be refined in the faith community nurse specialty practice, coupled with limited available research for the evaluation of effectiveness, a conceptual model for faith community nurse education is needed. Faith Community Nurse Education Conceptual Model incorporates both internal and external factors that impact the environment in which education occurs and acknowledges God as the author and finisher …

The Development Of A Faith Community Nursing Intervention To Promote Health Across The Life Span, Donna M. Callaghan

International Journal of Faith Community Nursing

Purpose: To report the development of a faith community nursing intervention to promote health across the life span. Studies by Callaghan (2003, 2005, 2006), that investigated the relationships among self-care agency, self-care self-efficacy, and health-promoting self-care behaviors, support the importance of spiritual growth on older adults’, adults’, and adolescents’ initiative and responsibility for self-care. This report will focus on applying these results and the research evidence that supports the integration of these concepts in the development of a health promotion intervention.

Procedures: Data was merged from Callaghan’s studies (2003, 2005, 2006) in order to investigate to what extent do self-care …

Practice Matters: Screening And Monitoring Hyperlipidemia, M. Laurie Branstetter Dnp, Maria E. Main, Tonya Bragg-Underwood Dnp

International Journal of Faith Community Nursing

Abstract

The purpose of this article is to provide Faith Community Nurses with current information on hyperlipidemia, a chronic disease responsible for the leading cause of death worldwide. Current guidelines for cholesterol screening and a risk calculator resource for estimating cardiovascular risk are provided. Myths and truths are presented for review with patients. Suggestions and resources for lifestyle modifications and patient education are included. Faith Community Nurses are at the center of community health and actively involved with improving health outcomes related to chronic disease.

A Survey Of Concerns In End-Of-Life Care: Perspective From Pakistan, Ariba Khan, Maharaj Singh, Sarah Saeed, Arif Siddiqui, Zeba Aziz, Michael Malone

College of Nursing Faculty Research and Publications

Personalized health care that incorporates advance care planning and aligns treatment with patient-centered goals can improve the quality of life of dying individuals and reduce stress, anxiety, and depression in surviving relatives. Although several prognostication indices that address all-cause mortality have been developed for use in elderly inpatients, none have been integrated into the electronic health record (EHR) to automatically identify high-risk individuals and used during interdisciplinary team rounds to identify vulnerable hospitalized adults.3 At Aurora Health Care in Milwaukee, Wisconsin, an automated alert for serious medical illnesses has been programmed into the EHR. Built on previous findings,the alert …

Educating Future Nursing Scientists: Recommendations For Integrating Omics Content In Phd Programs, Margaret M. Heitkemper, Donna O. Mccarthy, Cindy M. Anderson, Elizabeth J. Corwin, Sandra Daack-Hirsch, Susan G. Dorsey, Katherine E. Gregory, Maureen W. Groer, Susan J. Henly, Timothy Landers, Debra E. Lyon, Jacquelyn Y. Taylor, Joachim Voss

College of Nursing Faculty Research and Publications

Preparing the next generation of nursing scientists to conduct high-impact, competitive, sustainable, innovative, and interdisciplinary programs of research requires that the curricula for PhD programs keep pace with emerging areas of knowledge and health care/biomedical science. A field of inquiry that holds great potential to influence our understanding of the underlying biology and mechanisms of health and disease is omics. For the purpose of this article, omics refers to genomics, transcriptomics, proteomics, epigenomics, exposomics, microbiomics, and metabolomics. Traditionally, most PhD programs in schools of nursing do not incorporate this content into their core curricula. As part of the Council for …

Psychometric Properties Of The Family Caregiver Delirium Knowledge Questionnaire, Margaret J. Bull, Jennifer M. Sjostedt, Lesley Boaz, Debra L. Oswald

College of Nursing Faculty Research and Publications

A valid, reliable measure of family caregivers’ knowledge about delirium was not located in the literature; such an instrument is essential to assess learning needs and outcomes of education provided. The purpose of the current study was to (a) develop a family Caregiver Delirium Knowledge Questionnaire (CDKQ) based on the Symptom Interpretation Model; and (b) establish validity and reliability of the measure. The 19-item CDKQ was developed and administered to 164 family caregivers for community-dwelling older adults. Descriptive statistics were examined for all variables. Psychometric testing included confirmatory factor analysis, item-to-total correlations, and internal consistency reliability. A three-factor model provided …

Emerging Areas Of Science: Recommendations For Nursing Science Education From The Council For The Advancement Of Nursing Science Idea Festival, Susan J. Henly, Donna O. Mccarthy, Jean F. Wyman, Margaret M. Heitkemper, Nancy S. Redeker, Marita Titler, Ann Marie Mccarthy, Patricia W. Stone, Shirley M. Moore, Anna C. Alt-White, Yvette P. Conley

College of Nursing Faculty Research and Publications

The Council for the Advancement of Nursing Science aims to “facilitate and recognize life-long nursing science career development” as an important part of its mission. In light of fast-paced advances in science and technology that are inspiring new questions and methods of investigation in the health sciences, the Council for the Advancement of Nursing Science convened the Idea Festival for Nursing Science Education and appointed the Idea Festival Advisory Committee (IFAC) to stimulate dialogue about linking PhD education with a renewed vision for preparation of the next generation of nursing scientists. Building on the 2005 National Research Council report Advancing …

Message, H Vinod Bhat Dr

Manipal Journal of Nursing and Health Sciences

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Effect Of Auditory Cues On Gait Among Patients With Parkinson’S Disease In South India, Lekshmi Mohan Ms, Asha Sasikumar Ms, Thomas Iype, Babu P. K

Manipal Journal of Nursing and Health Sciences

Introduction: In Parkinson’s disease there is defective internal rhythm generation. There is some evidence that it can be overcome with external rhythmic cues. Objective: Evaluate the effect of auditory cues on gait among patients with Parkinson’s disease. Methodology: Experimental – One group pretest post-test design was adopted. The study was conducted on 30 patients with Parkinson’s disease attended the Department of Neurology, Medical College Hospital, Thiruvananthapuram. Samples were selected consecutively. Researcher collected data from the subjects using a semi structured interview schedule and Dynamic Gait Index Scale. The intervention was practice of gait listening to auditory cues by an electronic …

Effectiveness Of Interactive Session On Prevention Of Adolescent Suicide, Sara Varughese Ms, Linu Sara George Dr, Prima J J D'Souza Ms

Manipal Journal of Nursing and Health Sciences

Background: Suicide is the second leading cause of death among Indian adolescents. The school personnel play an important role in the prevention of adolescent suicides. Aims and objectives: The study aimed at assessing the knowledge on prevention of adolescent suicide as measured by a knowledge questionnaire and determine the effectiveness of an interactive session in terms of gain in knowledge scores. Materials and methods: The study comprised 68 high school teachers conveniently selected from eight English medium high schools of Udupi Taluk. One group pre-test post-test design was used. The pre-test on prevention of suicide was conducted on the first …

Materno Foetal Physiological Parameters In Sitting And Left Lateral Position During Non - Stress Test (Nst) Monitoring In Pregnancy: A Cross Over Study, Rachel Samuel Ms, Sushmitha Karkada Ms, Sweety Fermamdes Ms, Parvathi Bhat Dr

Manipal Journal of Nursing and Health Sciences

Introduction: The main goal of foetal observation is a healthy new born with a mother who is healthy. The non-stress test (NST) is a primary foetal surveillance tool. This study aimed to compare the maternal physiological parameters of antenatal women during NST monitoring between sitting and left lateral position and also to determine the foetal physiological parameters during NST monitoring in sitting position and left lateral position. Methods: The study was cross over design. The antenatal women between 34 to 40 weeks of gestation were randomly given the position as Group-A or Group-B position strategy. The setting of the study …

Reproductive Health Problems And Health Seeking Behaviour Among Adolescent Girls Of Udupi District, Karnataka, Swetha Pavithran Ms, Yashoda S Ms, Sangeetha Priyadarshini Ms, Baby S. Nayak Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Adolescence is the period of transition from childhood to adulthood. This transition phase makes them vulnerable to a large variety of morbidities among adolescent girls. Reproductive tract infections (RTIs) are one of the most prevalent health morbidities among women throughout the world especially in developing countries. Objective: To identify the reproductive health problems and health seeking behaviour among adolescent girls in Udupi district, Karnataka. Methods: Cross sectional study was conducted to determine the reproductive health problems and health seeking behaviour of 400 adolescent girls between 14-18 years age group. A valid pre-tested, reliable reproductive health problems assessment scale and …

Anxiety And Coping Mechanisms Among Hiv Positive Patients, Sreelekshmi R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: HIV or human immunodeficiency virus infection breaks down body’s immune system. In India HIV infection is associated with stigma and open discrimination.This chronic illness can have much deleterious effect on the patients’ physiological and psychological status. Thus, identification of anxiety and different coping strategies adopted by these patients are of prime importance. Methods: A descriptive survey was carried out to collect data from150 HIV positive patients who were on antiretroviral therapy through simple random sample technique (lottery method); the state anxiety inventory and Dr Kiran Rao’s coping checklist were used for collecting data. Result: Findings of the study showed …